Abstract
Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States.
Design: Cross-sectional study of primary care patients aged 65 and older.
Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009.
Participants: Nine hundred fifty-four primary care patients without a documented diagnosis of dementia.
Measurements: Community Screening Instrument for Dementia, the Mini-Mental State Examination, and the Telephone Instrument for Cognitive Screening.
Results: Of the 954 study participants who consented to participate, 748 agreed to be screened for dementia and 206 refused screening. The overall response rate was 78.4%. The positive screen rate of the sample who agreed to screening was 10.2%. After adjusting for demographic differences the following characteristics were still associated with increased likelihood of screening positive for dementia: age, male sex, and lower education. Patients who believed that they had more memory problems than other people of their age were also more likely to screen positive for dementia.
Conclusion: Age and perceived problems with memory are associated with screening positive for dementia in primary care.
Keywords: Dementia screening, Alzheimer's disease, primary care, diagnostic assessment, memory.
Current Alzheimer Research
Title:Acceptability and Results of Dementia Screening Among Older Adults in the United States
Volume: 15 Issue: 1
Author(s): Amanda Harrawood, Nicole R. Fowler*, Anthony J. Perkins, Michael A. LaMantia and Malaz A. Boustani
Affiliation:
- Department of Medicine, Indiana University, Center for Aging Research, Indianapolis, IN 46202,United States
Keywords: Dementia screening, Alzheimer's disease, primary care, diagnostic assessment, memory.
Abstract: Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States.
Design: Cross-sectional study of primary care patients aged 65 and older.
Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009.
Participants: Nine hundred fifty-four primary care patients without a documented diagnosis of dementia.
Measurements: Community Screening Instrument for Dementia, the Mini-Mental State Examination, and the Telephone Instrument for Cognitive Screening.
Results: Of the 954 study participants who consented to participate, 748 agreed to be screened for dementia and 206 refused screening. The overall response rate was 78.4%. The positive screen rate of the sample who agreed to screening was 10.2%. After adjusting for demographic differences the following characteristics were still associated with increased likelihood of screening positive for dementia: age, male sex, and lower education. Patients who believed that they had more memory problems than other people of their age were also more likely to screen positive for dementia.
Conclusion: Age and perceived problems with memory are associated with screening positive for dementia in primary care.
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Cite this article as:
Harrawood Amanda, Fowler R. Nicole *, Perkins J. Anthony , LaMantia A. Michael and Boustani A. Malaz , Acceptability and Results of Dementia Screening Among Older Adults in the United States, Current Alzheimer Research 2018; 15 (1) . https://dx.doi.org/10.2174/1567205014666170908100905
DOI https://dx.doi.org/10.2174/1567205014666170908100905 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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